The Association between Serum Serine and Glycine and Related-Metabolites with Pancreatic Cancer in a Prospective Cohort Study

Background. Serine and glycine play an important role in the folate-dependent one-carbon metabolism. The metabolism of serine and glycine has been shown to be associated with cancer cell proliferation. No prior epidemiologic study has investigated the associations for serum levels of serine and glyc...

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Main Authors: Hung N. Luu, Pedram Paragomi, Renwei Wang, Joyce Y. Huang, Jennifer Adams-Haduch, Øivind Midttun, Arve Ulvik, Tin C. Nguyen, Randall E. Brand, Yutang Gao, Per Magne Ueland, Jian-Min Yuan
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Cancers
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Online Access:https://www.mdpi.com/2072-6694/14/9/2199
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author Hung N. Luu
Pedram Paragomi
Renwei Wang
Joyce Y. Huang
Jennifer Adams-Haduch
Øivind Midttun
Arve Ulvik
Tin C. Nguyen
Randall E. Brand
Yutang Gao
Per Magne Ueland
Jian-Min Yuan
author_facet Hung N. Luu
Pedram Paragomi
Renwei Wang
Joyce Y. Huang
Jennifer Adams-Haduch
Øivind Midttun
Arve Ulvik
Tin C. Nguyen
Randall E. Brand
Yutang Gao
Per Magne Ueland
Jian-Min Yuan
author_sort Hung N. Luu
collection DOAJ
description Background. Serine and glycine play an important role in the folate-dependent one-carbon metabolism. The metabolism of serine and glycine has been shown to be associated with cancer cell proliferation. No prior epidemiologic study has investigated the associations for serum levels of serine and glycine with pancreatic cancer risk. Methods. We conducted a nested case-control study involved 129 incident pancreatic cancer cases and 258 individually matched controls within a prospective cohort study of 18,244 male residents in Shanghai, China. Glycine and serine and related metabolites in pre-diagnostic serum were quantified using gas chromatography-tandem mass spectrometry. A conditional logistic regression method was used to evaluate the associations for serine, glycine, and related metabolites with pancreatic cancer risk with adjustment for potential confounders. Results: Odds ratios (95% confidence intervals) of pancreatic cancer for the highest quartile of serine and glycine were 0.33 (0.14–0.75) and 0.25 (0.11–0.58), respectively, compared with their respective lowest quartiles (both <i>p</i>’s < 0.01). No significant association with risk of pancreatic cancer was observed for other serine- or glycine related metabolites including cystathionine, cysteine, and sarcosine. Conclusion. The risk of pancreatic cancer was reduced by more than 70% in individuals with elevated levels of glycine and serine in serum collected, on average, more than 10 years prior to cancer diagnosis in a prospectively designed case-control study. These novel findings support a protective role of serine and glycine against the development of pancreatic cancer in humans that might have an implication for cancer prevention.
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spelling doaj.art-9c8c357b63264a09bd4edb32bc13cf162023-11-23T07:56:16ZengMDPI AGCancers2072-66942022-04-01149219910.3390/cancers14092199The Association between Serum Serine and Glycine and Related-Metabolites with Pancreatic Cancer in a Prospective Cohort StudyHung N. Luu0Pedram Paragomi1Renwei Wang2Joyce Y. Huang3Jennifer Adams-Haduch4Øivind Midttun5Arve Ulvik6Tin C. Nguyen7Randall E. Brand8Yutang Gao9Per Magne Ueland10Jian-Min Yuan11UPMC Hillman Cancer Center, University of Pittsburgh Medical Center, 5150 Centre Avenue, Suite 4C, Pittsburgh, PA 15232, USAUPMC Hillman Cancer Center, University of Pittsburgh Medical Center, 5150 Centre Avenue, Suite 4C, Pittsburgh, PA 15232, USAUPMC Hillman Cancer Center, University of Pittsburgh Medical Center, 5150 Centre Avenue, Suite 4C, Pittsburgh, PA 15232, USAUPMC Hillman Cancer Center, University of Pittsburgh Medical Center, 5150 Centre Avenue, Suite 4C, Pittsburgh, PA 15232, USAUPMC Hillman Cancer Center, University of Pittsburgh Medical Center, 5150 Centre Avenue, Suite 4C, Pittsburgh, PA 15232, USABevital A/S, Jonas Lies Veg 87, 5021 Bergen, NorwayDepartment of Clinical Science, University of Bergen, Postboks 7804, 5020 Bergen, NorwayDepartment of Computer Science and Engineering, University of Nevada at Reno, Reno, NV 89557, USAUPMC Hillman Cancer Center, University of Pittsburgh Medical Center, 5150 Centre Avenue, Suite 4C, Pittsburgh, PA 15232, USADepartment of Epidemiology, Shanghai Cancer Institute, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 201112, ChinaBevital A/S, Jonas Lies Veg 87, 5021 Bergen, NorwayUPMC Hillman Cancer Center, University of Pittsburgh Medical Center, 5150 Centre Avenue, Suite 4C, Pittsburgh, PA 15232, USABackground. Serine and glycine play an important role in the folate-dependent one-carbon metabolism. The metabolism of serine and glycine has been shown to be associated with cancer cell proliferation. No prior epidemiologic study has investigated the associations for serum levels of serine and glycine with pancreatic cancer risk. Methods. We conducted a nested case-control study involved 129 incident pancreatic cancer cases and 258 individually matched controls within a prospective cohort study of 18,244 male residents in Shanghai, China. Glycine and serine and related metabolites in pre-diagnostic serum were quantified using gas chromatography-tandem mass spectrometry. A conditional logistic regression method was used to evaluate the associations for serine, glycine, and related metabolites with pancreatic cancer risk with adjustment for potential confounders. Results: Odds ratios (95% confidence intervals) of pancreatic cancer for the highest quartile of serine and glycine were 0.33 (0.14–0.75) and 0.25 (0.11–0.58), respectively, compared with their respective lowest quartiles (both <i>p</i>’s < 0.01). No significant association with risk of pancreatic cancer was observed for other serine- or glycine related metabolites including cystathionine, cysteine, and sarcosine. Conclusion. The risk of pancreatic cancer was reduced by more than 70% in individuals with elevated levels of glycine and serine in serum collected, on average, more than 10 years prior to cancer diagnosis in a prospectively designed case-control study. These novel findings support a protective role of serine and glycine against the development of pancreatic cancer in humans that might have an implication for cancer prevention.https://www.mdpi.com/2072-6694/14/9/2199pancreatic cancerrisk factorsserineglycine
spellingShingle Hung N. Luu
Pedram Paragomi
Renwei Wang
Joyce Y. Huang
Jennifer Adams-Haduch
Øivind Midttun
Arve Ulvik
Tin C. Nguyen
Randall E. Brand
Yutang Gao
Per Magne Ueland
Jian-Min Yuan
The Association between Serum Serine and Glycine and Related-Metabolites with Pancreatic Cancer in a Prospective Cohort Study
Cancers
pancreatic cancer
risk factors
serine
glycine
title The Association between Serum Serine and Glycine and Related-Metabolites with Pancreatic Cancer in a Prospective Cohort Study
title_full The Association between Serum Serine and Glycine and Related-Metabolites with Pancreatic Cancer in a Prospective Cohort Study
title_fullStr The Association between Serum Serine and Glycine and Related-Metabolites with Pancreatic Cancer in a Prospective Cohort Study
title_full_unstemmed The Association between Serum Serine and Glycine and Related-Metabolites with Pancreatic Cancer in a Prospective Cohort Study
title_short The Association between Serum Serine and Glycine and Related-Metabolites with Pancreatic Cancer in a Prospective Cohort Study
title_sort association between serum serine and glycine and related metabolites with pancreatic cancer in a prospective cohort study
topic pancreatic cancer
risk factors
serine
glycine
url https://www.mdpi.com/2072-6694/14/9/2199
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